Units 13-15 (the other shit) - Sexual Assault, Dissociative Disorders, Eating Disorders, Paraphilias

Question 1

Define sexual assault

Answer 1

Any nonconsensual touching, penetration, of a person. Pressuring a individual into sexual activity, or forcing them to watch pornography. Use of drugs or ETOH. Or not respecting if they change their mind.

Question 2

Coercion

Answer 2

Intimidating, pressuring, using drugs, making them feel like you owe them sex, not respecting no, or using weapons.

Question 3

Cycle of abuse

Answer 3

-Tension phase
-Acute battering phase
-Honeymoon phase

Question 4

Perpetrator characteristics

Answer 4

-Jealous easily
-Poor social skills
-Narcissistic characteristics

Question 5

Risk factors

Answer 5

Women, who is…
-Pregnant
-Leaving the relationship
-Seeking independence

Children
-Under 3
-of Unwanted pregnancy

Elderly
-Dependent on abuser
-75+, white women
-Poor health

Question 6

Signs of abuse

Answer 6

-Physical Bruises, swelling, burns.
-Neglect: dirty/seasonal incorrect clothes, poor hygiene
!! Most common type of abuse in children is neglect.

Question 7

Types of abuse

Answer 7

Emotional/verbal, financial, physical, neglect, sexual

Question 8

Tx of abuse

Answer 8

Assess coping factors, family relationships, social social, safety risk.
Implementation: case management, !!report abuse, self-care education, therapy, good milieu.
Give reassurance: ** you are not alone. It was not your fault.

Question 9

SANE Nurse

Answer 9

Sexual Assault Nurse Examiners. Provide comfort for victims and collect evidence of SA. This includes a H to T, PMH, allergies, assessment, a detailed questioning, and collecting swabs of DNA, pictures of injury, etc.

Always one foot in court.

Question 10

Types of dissociative disorders

Answer 10

-Illness Anxiety DIsorder
-SSDs - Somatic Symptom Disorder
-Conversion Disorder
-Factitious Disorder

Question 11

Factitious Disorder and Factitious Disorder by Proxy

Answer 11

Faking a disorder for attention or convience.
Causing a person, typically their child, sick for attention of so that they can take care of them.

Question 12

Illness Anxiety Disorder

Answer 12

Excessive concern with being sick. Misinterpret physical symptoms Ex. Stomach is a tumor. Person believes they are sick, with no actual physiological source. Person may seek care a lot or avoid care entirely.

Question 13

Somatization

Answer 13

Physical manifestations of distress

Question 14

SSDs - Somatic Symptom Disorder

Answer 14

D- Person believe injury to be worse then is. Anxiety around symptoms without physiological source. One or more symptoms. Suffering is real.

Question 15

Conversion Disorder

Answer 15

When typically a highly distressing event causes a physiological impairment with no actual physiological cause. Ex. Blindness, loss of control of limb. Has “la belle indifference”, or person is not as alarmed as they should be.

Question 16

Tx of Dissociative Disorders

Answer 16

1) Always do physical exam 2) avoid unnecessary procedure 3) provide consistent care 4) have realistic goals

Question 17

Different eating Disorders

Answer 17

-Binge eating disorder
-Anoxeria nervosa
-Bulimia nervosa

Question 18

Define Eating Disorders

Answer 18

Any abnormal eating pattern.

Question 19

Anorexia nervosa

Answer 19

D- When a person restricts their diet through purging, dieting, exercising, diuretics. Low BMI (below 18.5). At risk of
E- Family hx. A r w/ substance abuse, depression/anxiety
A- At risk for electrolyte imbalance and cardiac issues. Assess for irregular pulse, hypotension, jaundice. Look at knuckles for marks from throwing up.
T- Slowly. Don’t feed them a bunch at once; they’ll get re-feeding syndrome. One-on-one observation during eating to make sure they’re not hiding food or making themselves puke. Doing desensitization to food. Deep breathing. Introduce them to larger portions at a time. Educate on disorder
H- There’s a chemical reason behind this. Come from where they are.

Question 20

Bulimia nervosa

Answer 20

D- When person makes themselves vomit it up. They are typically average wt to slightly higher wt.
A - This one will have calloused knuckles, Russells. Risk for GERD? Throwing up damaging esophagus.

Question 21

Binge eating

Answer 21

Person will eat large portions of food. Onset may be stressors.